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MEDSHOP PHARMACY LLC
STD482072 Matrix Human Services
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Covered Entity Details
Entity Name
Matrix Human Services
Subdivision Name
Matrix Community Health
Type
Sexually Transmitted Diseases
340B ID
STD482072
Entity Address
1400 WOODBRIDGE STREET
DETROIT, MI 48207
Grant Number
NU62PS924752
Participating Start Date
4/1/2022
Last Recertification Date
5/20/2024
Pharmacy Details
Pharmacy Name
MEDSHOP PHARMACY LLC
Pharmacy Address
1964 W 11 MILE RD
SUITE C
BERKLEY, MI 48072
Pharmacy Comments
Contract Details
Approval Date
2/8/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Perkins, Vice President of Health Care Services
(248) 819-0489
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
1/5/2022
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